Organization Profile

Length of Time in Operation:

Business/ Organization’s Mandate and Key Personnel:

Type of Organization:

For a complete list, visit Statistics Canada https://www23.statcan.gc.ca
Example: 913 Local, Municipal and Regional Public Administration

Census Subdivision:

CodeCensus subdivision

Project Details

Type of Activity: Check All That Apply

Other (Specify):

Project Activities & Deliverables

Funding History

Project Expenses and Funding

Expenses DescriptionAmount
Total Project Cost
Project Contribution PartnersAmountCash or In-Kind Donation
Total Contribution

Project Contribution Partners

Economic Impact

Please provide details on the anticipated economic impact.

Authorization and Certification

As the lead contact and as an authorized signing officer of the Applicant, I certify to the Community Futures Peterborough that:

The principals of the Applicant have been notified and consented to Community Futures Peterborough using, retaining and disclosing the information contained in this application for the limited purpose of determining eligibility for funding as is required by law and by CF Peterborough. I understand that CF Peterborough will handle personal information in strict confidence in accordance with Federal privacy law. This information may be reviewed by FedDev Ontario for the purposes of assessing project eligibility.

The information contained in this application is true and complete in all respects. If Community Futures Peterborough discovers that this application contains a material misrepresentation, this application shall be deemed to be withdrawn immediately by the Applicant.

The Applicant agrees to provide any additional information that Community Futures Peterborough may reasonably require for purposes of assessing this application.

The Applicant acknowledges that any approved Project will be the subject of public announcements and acknowledgement on www.communityfuturespeterborough.ca

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